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Vaccination coverage in healthcare workers: a multicenter cross-sectional study in Italy

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  • Vaccination coverage in healthcare workers: a multicenter cross-sectional study in Italy

    J Prev Med Hyg. 2019 Mar 29;60(1):E12-E17. doi: 10.15167/2421-4248/jpmh2019.60.1.1097. eCollection 2019 Mar.
    Vaccination coverage in healthcare workers: a multicenter cross-sectional study in Italy.

    Genovese C1, Picerno IAM1, Trimarchi G2, Cannav? G3, Egitto G3, Cosenza B1, Merlina V1, Icardi G4,5, Panatto D5, Amicizia D5, Orsi A4,5, Colosio C6, Marsili C6, Lari C7, Palamara MAR1, Vitale F8, Casuccio A8, Costantino C8, Azara A9, Castiglia P9, Bianco A10, Curr? A10, Gabutti G11, Stefanati A11, Sandri F11, Florescu C11, Marranzano M12, Giorgianni G12, Fiore V12, Platania A12, Torre I13, Cappuccio A13, Guillari A13, Fabiani L14, Giuliani AR14, Appetiti A14, Fauci V1, Squeri A1, Ragusa R15, Squeri R1.
    Author information

    Abstract

    Introduction:

    In recent years, a phenomenon known as "vaccine hesitancy" has spread throughout the world, even among health workers, determining a reduction in vaccination coverage (VC).A study aimed at evaluating VC among healthcare workers (HCWs) in 10 Italian cities (L'Aquila, Genoa, Milan, Palermo, Sassari, Catanzaro, Ferrara, Catania, Naples, Messina) was performed.
    Materials and methods:

    Annex 3 of the Presidential Decree n. 445 of 28 December 2000 was used to collect information on the vaccination status of HCWs. The mean and standard deviation (SD) were calculated with regard to the quantitative variable (age), while absolute and relative frequencies were obtained for categorical data (sex, professional profile, working sector, vaccination status). The connection between VC and the categorical variables was evaluated by chi-square method (statistical significance at p < 0.05). The statistical analyses were performed by SPSS and Stata software.
    Results:

    A total of 3,454 HCWs participated in the project: 1,236 males and 2,218 females.The sample comprised: physicians (26.9%), trainee physicians (16.1%), nurses (17.2%) and other professional categories (9.8%). Low VC was generally recorded. Higher VC was found with regard to polio, hepatitis B, tetanus and diphtheria, while coverage was very low for measles, mumps, rubella, pertussis, chickenpox and influenza (20-30%).
    Conclusions:

    This study revealed low VC rates among HCWs for all the vaccinations. Measures to increase VC are therefore necessary in order to prevent HCWs from becoming a source of transmission of infections with high morbidity and/or mortality both within hospitals and outside.


    KEYWORDS:

    Healthcare workers; Vaccination coverage; Vaccines

    PMID: 31041405 PMCID: PMC6477557 DOI: 10.15167/2421-4248/jpmh2019.60.1.1097
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